Male Contraception and Reversal of Vasectomy

Vasectomy is a very successful and effective method of contraception for men. Reversal of vasectomy is possible but success cannot be guaranteed.

Vasectomy Figure 4

Vasectomy is an effective and popular method of long-term contraception. It is performed as a day-case procedure using anaesthetic (usually a local anaesthetic). Small incisions in the scrotum allow the surgeon to identify the vas deferens (Drainage tube carrying sperm from the testicle) on each side. This tube is then disconnected and tied off.

Vasectomy does not usually work immediately and you should use alternative methods of contraception until  2 semen samples (taken at between 3 and 4 months) have been analysed to check that they are clear. Patients undergoing vasectomy must be aware that this procedure should be considered irreversible.

Reversal of Vasectomy

A reversal of vasectomy is an operation to rejoin the tubes (vas deferens) that carry sperm from the testes to re-introduce the flow of sperm. This operation is performed under general anaesthetic and is a more complicated and technical procedure than vasectomy. Some patients will need to stay in hospital overnight. There is no guarantee that this procedure will work and the chance of successful conception leading to birth of a baby is about 50%. However, the length the time since the original vasectomy was done and the age of the patient and his partner will have a significant effect on the chances of success. 

Ipswich Urology are able to provide suitable advice and surgical expertise relating to both these procedures. One of the team of consultants also has a specialist interest in the investigations and treatment for male infertility.

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